Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Parent organization
RIVERSIDE PHYSICIAN SERVICES INC
Other names
CEAGH
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE PHYSICIAN SERVICES INC
Authorized official
JAMES E LESNICK MD (VICE PRESIDENT)
(757) 594-4006
Entity
Organization
Contact information
Practice address
3901 TREYBURN DR, SUITE 100, WILLIAMSBURG, VA 23185-2891
(757) 220-4751
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
VA
207R00000X
Internal Medicine Physician
—
VA
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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